Individual
MISS AIESHA LIVENIA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
233 IRONSHIRE S, LAUREL, MD 20724-2223
(301) 317-4810
Mailing address
233 IRONSHIRE S, LAUREL, MD 20724-2223
(410) 290-6533
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A1746
MD
Other
Enumeration date
05/25/2007
Last updated
07/08/2007
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